Suspected Hypercalcemia Induced ST-Segment Elevation in a Patient With Sarcoidosis. Issue 1 (1st January 2015)

• Record Type: Journal Article
• Authors: Braun, Michael M.; Petersen, Keith; Hermann, Sophia; Overbeek-Wager, Erika; Layton, Miles; Trowbridge, David
• Is Part Of: Military medicine. Volume 180:Issue 1(2015)
• Page Start: e160
• Page End: e163
• Publication Date: 2015-01-01
• Subjects: Surgery, Military -- Societies, etc; Medicine, Military -- Societies, etc; Medicine, Military -- Periodicals; Surgery, Military -- Periodicals; Medicine, Military; Surgery, Military; Military Medicine -- Periodicals; Periodicals; Electronic journals; 616.98023
• DOI: 10.7205/MILMED-D-14-00252
• Languages: English
• ISSNs: 0026-4075

Abstract

ABSTRACT: Sarcoidosis is a multisystem granulomatous disease that affects 10 to 20 people per 100, 000 in the United States. Hypercalcemia is a known side effect of the disease and in rare instances has been shown to cause ST-segment elevation on electrocardiogram testing that mimics myocardial infarction. Herein, we present a rare case of a 55-year-old, asymptomatic African–American male with sarcoidosis and hydrochlorothiazide usage presenting with ST-segment elevation of the anterior leads secondary to hypercalcemia. Urgent cardiac catheterization showed normal coronary arteries without blockage. The patient's hypercalcemia was corrected with intravenous fluids and the ST-segment elevation resolved. The exact mechanism of ST-segment elevation induced hypercalcemia is unknown. Treatment of the underlying cause of the hypercalcemia is the mainstay of therapy.